Re: [ozmidwifery] cord blood gases

Fri, 13 Oct 2006 18:06:54 -0700

We dont have a machine in our unit. I think we may have one somewhere in the hospital, but thankfully no one is pushing for us to get one. Why would they want to do gasses on a babe with good `apgars? The NICE guidelines sound reasonable.
Di
 
----- Original Message -----
Sent: Friday, October 13, 2006 7:12 PM
Subject: Re: [ozmidwifery] cord blood gases

Naomi
In units where I work within Northern Ireland, cord blood gases are only done if
 
·         Emergency caesarean section is performed
·         Instrumental vaginal delivery is performed
·         A fetal blood sample has been performed in labour
·         Birth, if the baby’s condition at birth is poor
 
These are the recommendations from
 
The Use of Electronic Fetal Monitoring. National Institute for Clinical
Excellence. May 2001
 
 
Other articles which may be of interest to you are:
 
The merit of routine cord blood pH measurement at birth
 
Umbilical cord pH and risk factors for acidaemia in neonates in  Kerman
 
Umbilical cord blood sampling and expert data care
 
Hope this helps
Briege
 
Briege Lagan
PhD Student/Clinical Midwife Specialist 
University of Ulster
Northern Ireland


Naomi Wilkin <[EMAIL PROTECTED]> wrote:
 
 
 
Hi all,
Just wondering how common it is for cord blood gases to be done in
maternity units. I work in a small metro. hospital with a very busy
maternity unit and our medical 'powers that be' are pushing for them
to be done at every birth. Something we, the midwives, are very,
very reluctant to do.
I was also wondering if anyone knows of any research that may help us
to prevent this from becoming a routine thing.

Thanks
Naomi.


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